Identifying Causes of Overpayment in Your Genetic Testing Programs
Many providers lack the genetic utilization management skills to decrease the costs associated with unnecessary genetic testing. InformedDNA Payment Integrity takes an expert approach to identifying the specific testing being performed, an understanding of the clinical scenarios in which there is medical necessity for the testing and the relative standards for the determination, as well as the CPT coding landscape applicable to the testing. Implementing an InformedDNA Payment Integrity solution is a smart strategic move to help make healthcare more affordable to everyone.
Key Factors Influencing Cost Management in Genetic Testing
As genetic technology rapidly advances, cost management can be a challenge. InformedDNA has vast experience in the genetic services space, with the largest in-house staff of certified specialists in the country. We deliver the real-time insights and solutions our clients need to optimize clinical decisions, improve outcomes, and realize cost savings and benefits at scale.
Maximizing ROI for Healthcare Organizations Through a Cost-Efficient Approach to Genetic Testing
The secret to success in maximizing ROI lies in maximizing cost efficiency. As demand for genetic testing explodes, especially in fields such as oncology, neurology and obstetrics, special expertise is needed to avoid incorrect coding and billing, and to ensure that health care dollars are spent in the most efficient and clinically appropriate ways. This […]
How Genetic Counselors Simplify Prior Authorization Decisions
As genetic testing continues its rapid growth, insurers are hard-pressed to keep up. That’s where genetic counselors come in – they understand the science of genetics as well as the nuances of critical applications, improving cost efficiency and clinical accuracy. InformedDNA employs one of the largest number of genetic counselors in the country and has covered over 150 million lives.
How Third-Party Vendors Can Provide More Efficient GLP-1 Utilization
Many payors are facing the expense and demand associated with GLP-1s. Find out why many of them are turning to third-party vendors, such as InformedDNA, to meet those challenges.
Achieving Value through Comprehensive Genomic Benefits Management
Genomics-informed precision health holds enormous promise for patients – and can impact every aspect of a health plan’s business. When properly integrated, precision health may enable tailored care and potentially improve outcomes. However, rapid advances – including a growing number of expensive genomic tests and treatments – far outpace the resources that most health plans […]
The In’s and Out’s of Genetic Testing Payment Integrity
In part one of this blog series, we answered common questions posed by medical directors and claims management leaders at health plans. Because accurately reviewing and identifying genetic testing claims payments can be incredibly complex, we continue the conversation with our experts in this blog and turn our focus to the logistics of the payment […]
